Progressive Family Foot Care PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000703 Issued in IN

Legal business name

PROGRESSIVE FAMILY FOOT CARE PC

Practice address

966 W US Highway 30
Schererville, IN 46375-1551

Phone

(219) 322-8894

Fax

(219) 322-0056

NPI assigned

Oct 1, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David F Ray, DPMNPI 1932119989

Title

Owner/Physician

Phone

(219) 322-8894

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• DAVID F RAY DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Francis Ray, DPM

  • Foot & Ankle Surgery Podiatrist
  • Schererville, IN
  • NPI 1932119989
  Medicare reassignment Care Compare group Authorized official
• Jesse Murphy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Merrillville, IN
  • NPI 1215223235
  Medicare reassignment Care Compare group NPD
• Brendan Michael Ray, DPM

  • Student in an Organized Health Care Education/Training Program
  • Indianapolis, IN
  • NPI 1023641115
  Care Compare group
• James C Meade, DPM

  • Foot & Ankle Surgery Podiatrist
  • La Porte, IN
  • NPI 1316054299
  NPD
• Christopher S Grandfield, DPM

  • Foot & Ankle Surgery Podiatrist
  • La Porte, IN
  • NPI 1316054208
  NPD (past)
• Daniel C Surowiec, DPM, MS

  • Foot & Ankle Surgery Podiatrist
  • Libertyville, IL
  • NPI 1821001520
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1336336593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751551",
            "telephone_number": "219-322-8894",
            "fax_number": "219-322-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 W US HIGHWAY 30",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751551",
            "telephone_number": "219-322-8894",
            "fax_number": "219-322-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE FAMILY FOOT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "219-322-8894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000088054",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480015806",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100201670A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "61100087",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID F RAY DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Schererville, IN
• Providers in Schererville, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.